What is Shane Park's NPI number?

Shane Park's National Provider Identifier (NPI) is 1528639283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Park's specialty?

Shane Park is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Shane Park located?

Shane Park's practice location on file with NPPES is 27 Forestdale Rd, Kinnelon, NJ 07405-2558.

What is Shane Park's phone number?

The practice phone number listed in the NPPES registry for Shane Park is (973) 879-6811.

Is Shane Park's NPI active?

Yes — Shane Park's NPI (1528639283) is active in the NPPES registry as of the last update on 2021-07-05.

IndividualActive

Shane Park, MS, RD

NPI 1528639283 · Registered Dietitian · Kinnelon, NJ

Shane Park, MS, RD is a Registered Dietitian provider in Kinnelon, NJ (NPI 1528639283).

Provider details

NPI number: 1528639283
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: MS, RD
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Registered DietitianPrimary133V00000X
Dietary & Nutritional Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

27 Forestdale Rd

Kinnelon, NJ 07405-2558

Phone: (973) 879-6811

Street-level locationGet directions

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Mailing address